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The study evaluated the impact on staff and patient advocates of the implementation of a smoke‐free policy covering buildings and grounds within a mental health trust. Findings show that early consultation is central to the ownership of smoke‐free policies. The degree of success of the implementation of the policy was variable and depended on the availability of tobacco and the type of mental health unit, but the smoke‐free policy provided an opportunity to reduce smoking and hence health inequalities for people with mental health problems.

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